HomeMy WebLinkAbout17926 43RD AVE NE_014824_2026 INSPECTION REPORT
NGT '�t�'>� _
Permit No. � Lot #:
Address: ( r 7, 26/�) q, .
• Contractor:
�IN Owner:_
Date:
/APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
i
C-
al''111i.i f�
i
Inspector:
YPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing Gas Piping
❑ Footing ❑ Drywall, Nailing AL3 Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
C I TY OF 64RL-I NOON
CONSTRUCT I Old BERM I T
PERM I T NO- = O 1 —4aa4
Owner: SCHICK, THOMAS 14300 BTH AVE NE MARYSVILLE 98271
Value of Work: Tax ID: 23105-3-006-0100 Phone: 360-65E-2020
Describe Work: INSTALL GAS RIFE FROM METER BASE TO MOBILE
Proposed Use: SFR
Legal Description:
Job Address: 17926 43RD AVE NE
Contractor's Nae Type Address License#
KALAF'S SERVICE & REPAIR MEC 14431 132ND ST NE KALAFSR10IDN
- - P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------------------------------------- ------ -------- ------------
GAS PIPING 1-4 OUTLETS 1 $6.00 $6.00 +
S U B T O T A L...... $6.00
TOTALS Fee
Equipment $6.00
Mech Permit $24.00 ^
TOTAL FEE. . . - = - . : . . . . . . : . $30.00 I HEREBY ":FY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. : = . . . . . . . . . . . . . . . $0.00 KNOW THE SAME TO BE TRUE AND COR—
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . .. .. ... . . . . $30.00 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE �-OMPLTPD WITH WHETHER
SPECIF��� '�'�V�_ ANOi .
BATE RECEIPT #
1 BUILD NG ICIA
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
/ ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. t1-gj2y
OWNER n.!/ • MAIL ADDRESS r t�/ /w/e CITY ZIP / /PHONE
2
x L /. J�/ !J�2`<r2L:�)
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
1
k MECHANICAL CON RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
1T/,p�G �1�fis `7/�77 61f Z23 3G� -G�/-
PLUMBING CONTRAtTOR MAIL ADDRESS CITY ZIP PHONE LICENSL 0
S/' /G/.DV. ����. 3,IS, 2z
CLASS Of WORK
❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
S�7 c�s�P`�//'�`7 ��i'5��2 �i'Tr"!N h•7�y�'-� JIIJSG� � !_G/5 Cr f��/Gi s7l'e S
DESCRIBE WORK
PROPOSE D USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPT ION Or PROPLRTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUT Zf0"AGENT^— tb�TE
108 ADDRESS 7
(OFFICE USE: ONLY) MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (TOILET) / AIR COND.UNITS -H.P. EA
BAIHIUB / REFRIGERATION UNITS-H.P EA.
LAVATORY (WASH BASIN) BOILERS- H.P. EA
HOwLR GAS FIRED A C. UNITS-TONNAGE EA.
KI CHLN SINK& DISP FORCED AIR SYSTEMS- B.T U MEA
DISH 'ASHER WALL HEATERS-B.T.0 M
LAUND IRAY UN11 HEATERS- B.T.0 M
CLUI TIES w HER EVAPORAI IVE COOLERS
WA ER HEATS CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKER STOVE
ROOF DRAINS - AINLEADER. MEJAL.FIREPLACE&CHIMNEY
SINK (SERVI - BAR,ETC.) WATER HEATER
GAS PIPING
— v
SUB TOTAL f SUBTOTAL f
PERMIT , f PERMIT f
TOTALFEE f TOTALFEE f
SIDE v ARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONk LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ❑NO
TYPE Of CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
BU'LDING f
SILL OF BLDG. NO.OF STORIES MAX.OCC.LOAD
PLUMBING
FIRESPRINKLERSREQUIRED
❑ 'ES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
WATER/SEWER FEES-
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
Cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT RECORDS COPY